A 54-year-old woman has brief spinning vertigo when rolling over in bed. Episodes last less than 1 minute. Dix-Hallpike testing triggers vertigo and

Question

A 54-year-old woman has brief spinning vertigo when rolling over in bed. Episodes last less than 1 minute. Dix-Hallpike testing triggers vertigo and torsional nystagmus. Which of the following is the most appropriate initial treatment?

Accepted Answer

Canalith repositioning maneuver

Answer

High-dose antibiotics

Answer

Chronic meclizine as definitive therapy

Answer

Long-term bed rest

Answer

Immediate carotid surgery

BPPV — ABFM Board MCQ

A 54-year-old woman has brief spinning vertigo when rolling over in bed. Episodes last less than 1 minute. Dix-Hallpike testing triggers vertigo and torsional nystagmus. Which of the following is the most appropriate initial treatment?